# POMONA VALLEY REHABILITATION CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578096442
- **Authorized official:** CRYSTAL SOLORZANO (MANAGING MEMBER)
- **Authorized official phone:** (626) 658-7344

## Contact information

- **Practice address:** 250 W ARTESIA ST, POMONA, CA 91768-1807
- **Practice address phone:** (909) 623-7100
- **Practice address fax:** (909) 620-7787
- **Mailing address:** 250 W ARTESIA ST, POMONA, CA 91768-1807
- **Mailing address phone:** (909) 623-7100
- **Mailing address fax:** (909) 620-7787

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 950000023 | CA | Yes |

## Other

- **Enumeration date:** 04/07/2017
- **Last updated:** 04/07/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | LTC70080G | — | CA |
| 05 | — | ZZT06431K | — | CA |